Leprosy Mailing List – August 1, 2015
Ref.: (LML) Smoking and leprosy
From: Joydeepa Darlong, West Bengal, India
Dear Pieter,
This is an interesting observation (Cains Smith, LML 31-07-20150. Almost all our patients use nicotine in the form of smoking bidi( rolled up tobacco leaves used in rural India) or chew powdered tobacco. Even women are also addicted.
Peripheral arterial disease has been detected in many in the form of absent dorsalis pedis pulse and sometimes by Doppler study.
We do routinely ask them to stop tobacco more so if they have peripheral neuropathy.
Is there any way to confirm this nerve damage?
We must follow it up.
Regards
Joydeepa Darlong
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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